34D2143623 CLIA NUMBER - WALMART PHARMACY 10-7235

Laboratory Demographics

  • CLIA Code: 34D2143623
  • Facility Name: WALMART PHARMACY 10-7235
  • Facility Address: 3801 SOUTH MEMORIAL DRIVE
    WINTERVILLE, NC
    ZIP 28590
  • Facility Phone: 252 917-6865
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM HARDY
  • NPI Number: 1467851881
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2143623
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-7235
Street 3801 SOUTH MEMORIAL DRIVE
City WINTERVILLE
State NC
ZIP 28590
Phone 252 917-6865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Pharmacy
Lab Director WILLIAM HARDY

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This page was last updated on: 9/29/2025